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Evidence has also shown the drug can help manage heart failure and chronic kidney disease in people with obesity and type 2 diabetes

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This happens because the body produces more pigment when certain protective substances like glutathione are low

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In this protective role, ATF4 drives the expression of the chaperone heat shock protein family A (Hsp70) member 5 (HSPA5), which in turn stabilizes and enhances the activity of GPX4, thereby inhibiting ferroptotic cell death ( In ferroptosis resistant melanoma cells, CHAC1 was shown to be upregulated by NRF2 independent from ER stress signaling alongside the Aldo-Keto Reductase Family 1 Member C1 (AKR1C1) capable of degrading lipid radicals (Gagliardi et al., 2019)

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